Take a Soldier Fishing on Fork

Our way of saying “Thank You” to all branches of the military for protecting our freedom!

September 27, 2008

6:30am- 3:30pm

Lake Fork Marina

Lake Fork, Texas

Boater Registration Form

Please fill out this form completely. We will contact you before the event to confirm your entry.

There will be a meeting at Lake Fork Marina on Friday, September 26th at 8pm. Boaters and military personnel will be matched up and rules will be covered. Please plan on attending this meeting if possible.

Boaters: Your boat must be a legal tournament boat, which means that it must have livewells and all necessary equipment.

First Name _____________________________ Middle Initial _______________ Last Name______________________________________

Street Address ________________________________________ City/State/Zip________________________________________________

Home Phone (____)____________________________________ Cell/Other (____)______________________________________________

Email _______________________________________________

Boat Manufacturer and Model _____________________________ Engine Manufacturer/Horsepower_______________________________

Do you maintain liability insurance on your boat/motor/passengers? YesNo

Will you be able to provide your non-boater with rod/reel? YesNo

Will you be able to provide your non-boater with tackle? YesNo

Will you be able to provide your non-boater with a life jacket?  Yes  No

I have read and understand the rules for the “Take a soldier fishing on Fork” fishing event. I hereby agree to be bound by and comply with all tournament, federal, and state rules and regulations. I expressly assume all risk (s) associated with this event and I hereby release Lindale Bass club, the host marina, all sponsors, and tournament officials, including, but not limited to each of their respective employees, officers, directors, managers, members, volunteers, insurers and representatives from all claims or injury and/or damage arising out of, or related to and/or incurred in connection with this event (s). I hereby agree to indemnify, defend, and hold harmless Releasees from and against any and all demands, claims, causes of action, (including, but not limited to, causes of action in contract, tort, strict liability or otherwise, and specifically including, but not limited to, any claim of negligence and/or fault of any Releasee) , fines, penalties, damages, liabilities, judgments, and expenses (including, without limitation, reasonable attorneys’ fees) incurred in connection with or arising out of my participation and my partner’s participation the Take a Soldier Fishing on Fork sponsored event. I hereby grant Lindale Bass Club, the unconditional, royalty free, perpetual, right and license to use my name, voice, and photographic likeness in connection with Take a Soldier Fishing on Fork and Lindale Bass Club promotions, television shows, and/or articles and press releases. I agree that I am not entitled to receive any royalties or other compensation in connection with such use. I further understand and agree that the tournament director reserves the right to reject my application for any reason. I agree that I have sufficient health, accident, and liability insurance to cover any bodily injury or property damage incurred by myself or others as a result of my participation in any Lindale Bass Club sponsored event. If I have no such insurance, I declare that I am capable of paying for any and all such expenses or liability. I understand that I am responsible for paying all local, state, and federal taxes, title, license and registration as a result of my participation in the Take a Soldier Fishing event

By signing this document I am agreeing that I have read the waiver release above. I am signing it freely and voluntarily without any inducement.

Name: ________________________________________________ Date: _________________________

Send completed forms to:

Lindale B.A.S.S. Club

519 Abbey Road

Lindale, TX 75771

If you have any questions please contact Lindale Bass Club:

(903) 216-4578 or email: LindaleBassClub@aol.com